MR. Matthew Scott Mazara, PTA
NPI #1053787689 in Diberville, Mississippi
Provider Information
- NPI Number
- 1053787689
- Entity Type
- Individual
- Name
- MR. Matthew Scott Mazara, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Aug 18, 2015
- Last Updated
- Aug 18, 2015
Practice Location
- Address
- 10470 DIBERVILLE BLVD
- City
- Diberville
- State
- Mississippi
- ZIP Code
- 39540-2419
- Phone
- (228) 280-8120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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